Request For A Plea Bargain Of Vehicle And Traffic Charge(S) Page 2

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OSWEGO COUNTY DISTRICT ATTORNEY OFFICE
REQUEST FOR PLEA BARGAIN OF VEHICLE AND TRAFFIC CHARGE(S)
Name:
___________________________
Date of Birth: __________________
Address:
____________________________________________________________
City/Town of ___________________ Court
Judge: ________________________
Adourn date: _________________________
Suggested Reduction:(to what)_______________________________________________
Reason why reduction should be granted:
Was there a motor vehicle collision Yes [ ]
No [ ]
If "Yes" was there a personal injury or fatality?
Yes [ ]
No [ ]
If yes, to either above questions, you must provide a copy of the accident report MV
Form 104A (obtained from police agency) and a letter from your insurance company
stating all claims have been settled. We cannot resolve the ticket until the claim has
been settled and we receive letter with this form.
Has this case been set for trial?
Yes [ ] No [ ]
Do you have an attorney?:
Yes [ ] No [ ]
If "Yes", please supply his/her name and address:
I acknowledge, as the Defendant or Attorney for the defendant, that in filing this
application for a plea bargain of charge(s), I waive all rights to a speedy trial.
NOTICE:
In a written instrument, any person who knowingly makes a false
statement which such person does not believe to be true has committed a crime under the
laws of the State of New York punishable as a Class A Misdemeanor (PL 210.45).
Date: ________________
Signed:
____________________________________
Enclosed:
Copy of traffic ticket(s)
Copy of driving abstract from DMV
Self-addressed, stamped envelope

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